MANGO MEDICAL
NPI 1376837997
Family Medicine in Kamuela, HI

Active since May 31, 2011CLIA 12D2302206 · Waiver
64-1032 MAMALAHOA HWY, SUITE 306, KAMUELA, HI 96743(808) 769-5010(808) 769-5208 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mango Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANGO MEDICAL (NPI 1376837997) is a healthcare organization registered as a family medicine in Kamuela, Hawaii and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Timothy Duerler, President, as its authorized official.

NPPES Registry Identity

NPI1376837997
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUERLER, INC.
Location Address64-1032 MAMALAHOA HWY, SUITE 306Kamuela, HI 96743
Mailing Address64-1032 Mamalahoa Hwy, Suite 306Kamuela, HI 96743 · (808) 769-5010 · Fax (808) 769-5208
Fax(808) 769-5208
Organization SubpartNo
Authorized OfficialTimothy DuerlerPresident · (808) 351-6836
Enumeration DateMay 31, 2011
Last NPPES UpdateSeptember 25, 2015
✔ NPI 1376837997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
64-1032 MAMALAHOA HWY, Kamuela, HI 96743

Other Names 1

Doing Business AsMango Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mango Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20110721000841Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Mango Medical, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner8
Family Practice2
General Practice2
Emergency Medicine1
Mental Health Counselor1
Osteopathic Manipulative Medicine1
Podiatry1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1437588969
64-1032 MAMALAHOA HWY SUITE 306
Kamuela, HI 96743
(808) 769-5010
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1053607119
64-1032 MAMALAHOA HWY STE 306
Kamuela, HI 96743
(808) 769-5010
✔ PECOSSame address
Osteopathic Manipulative Medicine
NPI 1023167947
64-1032 MAMALAHOA HWY STE 306
Kamuela, HI 96743
(719) 237-0590
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1881602787
64-1032 MAMALAHOA HWY #306
Kamuela, HI 96743
(808) 769-5010
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1205718251
64-1032 MAMALAHOA HWY STE 306
Kamuela, HI 96743
(808) 769-5010
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1285382168
64-1032 MAMALAHOA HWY STE 306
Kamuela, HI 96743
(808) 769-5010
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1144251422
64-1032 MAMALAHOA HWY STE 306
Kamuela, HI 96743
(808) 769-5010
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1043291206
65-1117 EHIKU PL
Kamuela, HI 96743
(513) 368-3602
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1992206973
65-1298B KAWAIHAE RD STE 3
Kamuela, HI 96743
(808) 731-5003
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1760244586
68-3678 KOKEE PLACE
Waikola, HI 96738
(808) 371-8975
✔ PECOS✔ Accepts Medicare14 mi
General Practice
NPI 1598895351
55-515 HAWI RD
Hawi, HI 96719
(808) 960-3311
✔ PECOS18 mi
Nurse Practitioner
NPI 1649964206
75-184 HUALALAI RD STE 202
Kailua Kona, HI 96740
(808) 329-8251
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1538117163
79-7266 MAMALAHOA HWY STE 3
Kealakekua, HI 96750
(808) 498-4827
✔ PECOS38 mi
Nurse Practitioner
NPI 1184606899
16-192 PILI MUA ST
Keaau, HI 96749
(808) 930-0400
✔ PECOS49 mi
Family Practice
NPI 1053433441
5450 S GREEN ST STE A
Murray, UT 84123
(801) 486-4877
✔ PECOS✔ Accepts Medicare2,935 mi
General Practice
NPI 1700928082
140 S. 77TH ST.
Omaha, NE 68114
(402) 934-4535
✔ PECOS3,759 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2302206

Mango Medical · Kamuela, HI
Active · expires Apr 4, 2028
CLIA Number12D2302206
Laboratory TypeClinic
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJoshua Lessard-Chaudoin
Laboratory Phone(808) 769-5010
Laboratory LocationMango Medical64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Duerler, Inc.'s NPI number?

The NPI number for Duerler, Inc. is 1376837997. It was assigned to this organization in the NPPES registry on May 31, 2011. The provider is doing business as Mango Medical.

Where is Duerler, Inc. located?

Duerler, Inc. is located at 64-1032 Mamalahoa Hwy Suite 306, Kamuela, HI 96743. The listed phone number is (808) 769-5010.

What is Duerler, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Duerler, Inc. enrolled in Medicare?

Yes. Duerler, Inc. is registered in the Medicare PECOS enrollment system.

When is Duerler, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Duerler, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 7 Medicare specialties reassign their Medicare billing to Duerler, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Family Practice (2) and General Practice (2). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Duerler, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2302206) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Duerler, Inc. accept?

Health plans from HMSA list Duerler, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Duerler, Inc. was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.